Results of vitrectomy for vitreomacular traction syndrome
Rezultati vitrektomije pri bolnikih z vitreomakularnim trakcijskim sindromom

english

2012

volume 81, supl. 1

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background: To review the anatomical and functional results of vitrectomy for the vitreomacular traction syndrome. Methods: A retrospective analysis of 23 eyes of 23 patients (aged from 58 to 86 years) with vitreomacular traction syndrome is presented. The diagnosis of the vitreomacular traction syndrome was made when apparent traction of the vitreous face causing increased thickness of the macula had been detected by optical coherence tomography. All the patients underwent vitrectomy to relieve the macular traction. History, eye examination before and after vitrectomy and the follow up period were reviewed. Changes in the macular area were evaluated by optical coherence tomography before and after surgery. Statistical analysis using the Student's paired t-test was performed. Results: In 20 (87 %) out of 23 patients the mean best-corrected visual acuity significantly improved from 0.28 preoperatively to 0.56 postoperatively with a mean increase by 3 lines on the Snellen chart (p < 0.001). In the remaining 3 (13 %) patients visual acuity did not improve postoperatively. All patients showed a reduction in the macular thickness postoperatively. The mean thickness in the central macular area was 614.00 Žm preoperatively and 332.87 Žm postoperatively (p < 0.001). Neither intraoperative nor postoperative complications were observed in this series of patients during the follow-up period. Conclusions: Vitrectomy surgery performed to release the macular traction improves the visual acuity in most patients with vitreomacular traction syndrome. Optical coherence tomography is a valuable tool for the assessment of the preoperative status and postoperative anatomical changes.

15.05.2023